NPIMap

Individual provider Active NPI

Jordan D Raynor, M.D.

  • Neurology Physician
  • Richmond, IN
National Provider Identifier
1285997494
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01076777A Issued in IN
Practice address
1050 Reid Pkwy., Ste. 210
Richmond, IN 47374-1160
Phone
(765) 939-7711
Fax
(765) 939-1841
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01076777A IN Primary

Addresses

Primary practice location

1050 Reid Pkwy., Ste. 210
Richmond, IN 47374-1160

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 939-7711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jraynor301235@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606001344 IN Practitioner - Neurology 8921248014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reid Physician Associates Inc 427 clinicians

Practice addresses (Care Compare)

1050 Reid Pkwy
Richmond, IN 47374-1155

1050 Reid Pkwy
Suite 220
Richmond, IN 47374-1160
Phone (765) 962-9541

1100 Reid Pkwy
Richmond, IN 47374-1157

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048
  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01076777AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Reid Physician Associates, Inc CurrentSince Aug 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1050 Reid Pkwy
Ste 210
Richmond, IN 47374
Phone (765) 939-7711

Interoperability endpoints

  • Direct secure messaging: jraynor301235@reidhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reid HealthRichmond, IN, CCN 150048 Hospital Corporate Officer Jan 1, 2024
Reid HealthRichmond, IN, CCN 15T048 Hospital Corporate Officer Jan 1, 2024
Reid HealthRichmond, IN, CCN 151524 Hospice Corporate Officer (100%) Jan 1, 2024
Reid Primary & Specialty Care - Cambridge CityCambridge City, IN, CCN 153896 Rural health clinic Corporate Officer Jan 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1285997494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-939-7711",
            "fax_number": "765-939-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PKWY., STE. 210",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741160",
            "telephone_number": "765-939-7711",
            "fax_number": "765-939-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "JORDAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01076777A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jraynor301235@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1050 Reid Pkwy., Ste. 210",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.